Hip Replacement Surgery - The Rottinger Approach or Rapid Recovery

Trish9556

I have just read an article on my news feed from the Daily Mail on this new approach to hip replacement that enables patients to be up and walking out of hospital the next day with no crutches/sticks!

I read on and it is already available in some private hospitals and surgeons from these hospitals are now passing their knowledge onto NHS hospitals.

It uses an angled insertion of just 5-6 cm on the side of the hip and reduces the amount of time needed to reach the hip joint in less than a minute instead of the traditional posterior insertion which takes about 20 minutes to reach the hip joint.

I hope that something comes out of this for the likes of us who suffer with our hips for many months and years sometimes before we get to surgery and then have months of rehabilitation to get back to normal.

If you are looking to go privately for your hip surgery it would be worthwhile looking into this and making your own investigations into this new technique. To me, it seems too good to be true at this point but, if I was in need of my other hip doing I would certainly ask the surgeon who did the rightside his thoughts on it and if he used this technique on his private patients but not on NHS patients.

Something to think about!

Trish

Janlyn

@Trish9556 Amazing - walking without crutches/sticks same day - hard to believe, isn't it? The cost looks to be similar to other methods too. I do think it is common to be walking same day and home same/next day now but this does look like a significant improvement and hopefully will help waiting lists reduce?

Definitely something to think about and welcome progress.

Trish9556

@Janlyn

I would have loved have been able to walk unaided after my hip replacement last May! I hated using my sticks and crutches getting rid of them as soon as I was able to. It was all I could do to stand up!

Reading up about this, because the time in surgery is drastically reduced, and also the time spent in hospital to one night rather than the standard two nights, the ability to do more surgeries should reduce the waiting lists. The NHS state that waitingi times for surgery are 18 weeks once a referral has been made. That is obviously not including all the hoops we need to jump through with GP's, MSK and physio referrals alongside those magic hip injections before you even get to the point of being referred for surgery.

My wound was about 13" and I think I would have preferred the smaller, 5-6 cm wound that this new surgery gives you - a smaller wound surely gives you a shorter recovery time?

When I was waiting for my surgery I investigated the cost of going private and it was between £10,000 and £15,000 depending on where you are and who does it. This new method comes out slightly ore expensive at around £17,000 and so it would be interesting to see if the NHS do adopt it as best practice in future.

I shall certainly keep my eyes on this for the left side when it decides to give up on me.

Trish

Janlyn

@Trish9556 I agree regarding the sticks and I ditched mine as soon as possible. Not before I had damaged my wrist though.

A friend has recently paid privately for her hip replacement and it was £17,000 so it appears prices have risen recently. It may be also because she had ceramic rather than plastic?

A smaller wound and less time in surgery sounds like a winner all round though and definitely worth you keeping your eye on just in case ….

frogmorton

Sounds interesting @Trish9556

Anything which is less invasive and leads to a quicker recovery has to be good👍️

Toni x

Nurina

It looks great. New techniques are focused to preserve the abductor muscles to get a good short term recovery. I hope this technique could be tested enough to be a routine surgery soon. At the moment, it looks like there aren't many experts to do this approach. I wouldn't be in the hands of a inexperienced surgeon, honestly. Long term, it looks like the outcome is the same than the posterior approach, same risks. I haven't found documentation about this approach done in a deteriorated hip where they have to do a lot of manipulation.